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Description of Issue

In CY 2024, CMS issued a change to processing for telehealth services billed with POS 10. As of 1/1/2024, these claims are to be paid at the nonfacility PFS rate. A system processing issue resulted in incorrect payments at the facility rate and this issue has now been corrected. As per CMS instructions issued 2/21/2024, NGS will initiate a mass adjustment of all impacted claims with dates of service 1/1/2024 and after.

National Government Services Action

NGS will initiate a mass adjustment of all impacted claims with dates of service 1/1/2024 and after. Adjustments completed on 4/4/2024.

Provider Action

No provider action is necessary at this time.

Proposed Resolution/Fix

Mass adjustment of all impacted claims completed on 4/4/2024.

Update 4/2/2024: NGS expected date for mass adjustments on effected claims is 4/8/2024. Please continue to monitor this site for additional updates.

Update 3/6/2024: CMS advised NGS of a delay in the system correction for this issue and the associated mass adjustment. Please continue to monitor this site for additional updates.